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i don't know what to tell you
Click on the speaker icon located in the bottom-right corner of the taskbar and change the playback device from "Headset Earphone" to "Speaker / Headphone" (both options might be named differently), that should hopefully fix the audio.
Sometimes that can help, what dog toon said also could help.
Another good help would be to go to the official Pizza Tower Discord server, the devs talk there and other more savvy people, and they sure can help.
That's odd... Have you tried reinstalling the game?